Senior School Reference Form

Student Details

Student Name*

Student Date of Birth*

Current Year Group*

Name of School*

Dates the student attended your school*

Course of study the student is currently following*

IB MYP/DP, British GCSE / A Level etc.

Student's Character

Please indicate, relative to year group expectation the student's level below:

Academic performance*

Motivation*

Concern for others*

Behaviour*

Self confidence*

Relationship with peers*

Relationship with adults*

Emotional maturity*

Punctuality/time management*

Independent working*

Level of effort in class*

Level of concentration in class*

Willingness to participate/be involved*

What would you consider the academic strengths of this student?*

If the student is applying for post-16 study, please comment on their suitability to manage the increased academic demands, independent study and motivation that this requires.*

If the student is under 16, please enter "not applicable".

Are there any disciplinary, learning support, or pastoral issues we should be aware of?*

How has the student contributed to the school community over and above expectations?*

How responsive has the family been to the guidance and/or recommendations from you and your staff?*

Have the parents communicated with you, your staff and administrators in a respectful and constructive manner while attending your school?*

Referee Details

Name of person completing this reference

Prefix*

First*

Last*

Position at the school*

Email*

Phone*

Are you happy for us to contact you should we have any further questions?*

Yes

No

Senior School Reference Form | British School of Amsterdam | International School (3–18)